Learning Quest 529 Plan Designated Beneficiary Change Form

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Learning Quest 529 Plan

Designated Beneficiary Change Form

? Complete this form if you would like to change the Designated Beneficiary on your Learning Quest 529 Plan Account. ? Type in your information and print out the completed form, or print clearly, preferably in capital letters and black ink. Mail the form to the

address below. Do not staple. ? I mportant: To avoid adverse tax consequences the new Designated Beneficiary must be an Eligible Family Member of the former Designated

Beneficiary, as defined in the Learning Quest 529 Plan Guide and Participation Agreement (Plan Guide). If the new Designated Beneficiary is not an eligible family member, the change will be considered a non-qualified withdrawal, which means that it may be subject to both state and federal income tax and a 10% federal penalty tax on any earnings. ? A gift tax may apply if you name a new Designated Beneficiary who is one generation or more younger than the current Designated Beneficiary. If the new Designated Beneficiary is two or more generations younger than the current Designated Beneficiary, a federal generation-skipping tax may apply. Check with your tax advisor for more information. ? Forms can be downloaded from our website at forms, or you can call us to order any form--or request assistance in completing this form--at 1-888-903-3863.

Return the completed form and any other required documents to: Learning Quest 529 Plan P.O. Box 2905

Shawnee Mission, KS 66201-2905 Fax: 1-617-559-8903

1. Current Account information

Account Number Name of Account Owner (first, middle initial, last) or Trust Name of Joint Account Owner (first, middle initial, last) Telephone Number (In case we have a question about your Account.) Name of Existing Designated Beneficiary (first, middle initial, last) Designated Beneficiary Social Security Number American Century Investment Services, Inc., Distributor ?2017 Charles Schwab & Co., Inc. All rights reserved. Member SIPC. (0715-4590) APP20364LQ-10 (07/17)

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2. N ew Designated Beneficiary information

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Name of New Designated Beneficiary (first, middle initial, last)

Social Security Number

Citizenship:

U.S. Citizen

U.S. Resident Alien

Birth Date (mm/dd/yyyy) Citizenship (If other than U.S. citizen, please indicate country of citizenship.)

Home/Legal Address

City

State

Zip Code

3. T ransfer amount (Check and complete Section 3a or 3b.)

a. Entire balance. The Learning Quest 529 Plan will change the Designated Beneficiary on your Account and will assign you a new Account number if you do not already have an Account for the new Designated Beneficiary. Once the transfer is completed, any service features will be discontinued, and the old Account will be closed.

Do you already have an Account for the new Designated Beneficiary? (Check one.)

Yes.

No.

Account Number

If no, go to Section 4.

If yes, go to Section 7.

b. Partial balance. The Learning Quest 529 Plan will keep the current Designated Beneficiary's Account open. The dollar amount you specify below will be transferred to the new Designated Beneficiary's Account.

Name of Investment Option

Dollar amount

OR Total balance

(For partial amounts.) (Check if applicable.)

$

,

.

Do you already have an Account for the new Designated Beneficiary? (Check one.)

Yes.

Account Number

If yes, go to Section 7.

No.

If no, got to Section 4.

Note: If the amount you want transferred exceeds the maximum contribution limit, the excess will remain in the existing Account for your current Designated Beneficiary.

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4. Select your Investment Portfolio (Check only one.)

? B efore choosing your Investment Portfolios, see the Guide (available at forms) for complete information about the Investment Portfolios offered.

a. I want to keep the same Portfolios for my new Designated Beneficiary. Note: If you are invested in an Age-Based Track and the new Designated Beneficiary is in a different age bracket than the former Designated Beneficiary, your Portfolio may change.

b. I want to establish a new Portfolio as listed below.

Age-Based Track:

You can choose from three risk tracks based on your investment objectives and risk tolerance. As your beneficiary gets older your assets will move to a progressively more conservative portfolio.

Static Portfolio: You can choose from nine portfolios depending on your investment objectives, risk tolerance and time horizon. Each portfolio is reallocated annually to maintain its target asset allocation, and contributions stay in the portfolios you choose until you change your portfolio selection or until the account is closed.

Select from the Age-Based Tracks and Static Portfolios below.

Age-Based Tracks

Aggressive

%

Moderate

%

Conservative

%

Static Portfolios

100% Equity

%

90% Equity

%

70% Equity

%

60% Equity

%

50% Equity

%

30% Equity

%

20% Equity

%

Short-Term

%

Cash and Cash Equivalents

%

1 0 0%

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5. Financial Professional Information (Optional)

If you have previously appointed a Financial Professional to act on your behalf, the authorization will be carried over to the account for the new Designated Beneficiary unless you check the box below.

Do not apply the Financial Professional information to the new account. ? Y ou may change your Financial Professional at any time by completing a Financial Professional Authorization form, available at

529 or by calling 1-888-903-3863.

6. Successor Account Owner/Responsible Individual information (Optional)

I want to have the same Successor Account Owner/Responsible Individual for the new Designated Beneficiary. ? T he Successor Account Owner/Responsible Individual will take over control of the Account in the event of your death. ? To change an existing Successor Account Owner, please go online at or call 1-888-903-3863. ? Y ou may revoke or change the Successor Account Owner/Responsible Individual at anytime. See the Guide for

more information.

7. Recurring Contributions (Optional)

I would like to continue my existing recurring contributions for the new Designated Beneficiary. Through recurring contributions, you can have funds transferred electronically--on a regular basis--from your bank account to your

Learning Quest 529 Plan Account. You may add, change, or delete bank information, or change the investment amount and frequency at any time at or call 1-888-903-3863.

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8. Authorization--YOU MUST SIGN BELOW

By signing this Designated Beneficiary Change Form, I acknowledge that I have received and read a copy of the Guide and the attached Account Agreement, which contains a predispute arbitration provision. I acknowledge that my signature signifies and constitutes my agreement that this Account and my relationship with Schwab and American Century will be governed by the Guide and the Account Agreement each as amended from time to time.

By signing below, you acknowledge that by investing in a 529 plan outside the state in which you pay taxes, you may lose any tax benefits offered by your own state's plan.

Under penalties of perjury, I certify that:

(1) T he number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and

(2) I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and

(3) I am a U.S. person (including a U.S. resident alien).

Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.

The IRS does not require your consent to any provision of this document other than the certifications required to avoid backup withholding.

NOTE THAT SECTION 3 ON PAGE 6 OF THE ATTACHED ACCOUNT AGREEMENT CONTAINS A PREDISPUTE ARBITRATION AGREEMENT.

S I G N AT U R E

Signature of Account Owner/Responsible Individual/Trustee(s)

Date (mm/dd/yyyy)

S I G N AT U R E

Signature of Joint Account Owner

Date (mm/dd/yyyy)

S I G N AT U R E

Signature of Authorized Signer/Title (if applicable)

Date (mm/dd/yyyy)

S I G N AT U R E

Signature of Authorized Signer/Title (if applicable)

Date (mm/dd/yyyy)

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